SHARE Approach Evaluation

NCT06062940 | Completed

• 1 other identifier: 19-3053
• Study Type: observational
• Target: 176
• Locations: 1 country
• Sites: 1

Brief Summary

The SHARE Approach Evaluation study was meant to evaluate the SHARE Approach, designed by AHRQ and updated by UCD. The SHARE Approach is a training program for clinicians on shared decision making.

Conditions

Shared Decision Making

Outcome Measures

Primary Outcomes (8)

• Clinician training evaluation: Confidence in ability to do shared decision making

  Clinician confidence in doing shared decision making was measured by a brief card survey question with a 5 point Likert scale. Possible scores range from 1 to 5, with lower scores indicating less usefulness and higher scores indicating more usefulness.

  pre-training, post-training, 2-month follow-up

• Clinician training evaluation: Confidence in understanding what shared decision making is

  Clinician confidence in understanding shared decision making was measured by a brief card survey question with a 5 point Likert scale. Possible scores range from 1 to 5, with lower scores indicating less usefulness and higher scores indicating more usefulness.

  pre-training, post-training

• Card survey: Clinician satisfaction with encounter

  Clinician satisfaction with encounter was measured by a brief card survey question with a 5 point Likert scale. Possible scores range from 1 to 5, with lower scores indicating less usefulness and higher scores indicating more usefulness.

  pre-training, 1 month post-training, 6 month follow-up

• Card survey: Patient satisfaction with encounter

  Patient satisfaction with encounter was measured by a brief card survey question with a 5 point Likert scale. Possible scores range from 1 to 5, with lower scores indicating less usefulness and higher scores indicating more usefulness.

  pre-training, 1 month post-training, 6 month follow-up

• Card survey: Clinician shared decision making (self-reported)

  After clinician/patient encounters, clinicians were asked to fill out a brief card survey rating shared decision making that occurred during the encounter. These include questions from the Dyadic OPTION (observing patient involvement in decision making) scale. Higher scores reflected better experiences of shared decision making, whereas lower scores reflected poorer experiences of shared decision making.

  pre-training, 1 month post-training, 6 month follow-up

• Card survey: Patient shared decision making (self-reported)

  After clinician/patient encounters, patients were asked to fill out a brief card survey rating their experiences with shared decision making during the encounter. These included questions modified from the Dyadic OPTION (observing patient involvement in decision making) scale. Higher scores reflected better experiences of shared decision making, whereas lower scores reflected poorer experiences of shared decision making.

  pre-training, 1 month post-training, 6 month follow-up

• Audio recordings: Shared Decision Making (highest score of topics discussed)

  A subset of clinician/patient encounters were audio recorded, and then coded using a modified OPTION (observing patient involvement in decision making) 12 coding schema for elements of shared decision making occurring within the encounter. As a primary outcome, we selected the highest-scored topic discussed in each encounter. Higher scores reflected better experiences of shared decision making, whereas lower scores reflected poorer experiences of shared decision making.

  pre-training, 1 month post-training, 6 month follow-up

• Clinician training evaluation: Overall evaluation of the SHARE training

  clinicians answered the question: Overall, what was your experience of the training you received today. Likert rating scale was "Very positive" to "Very negative"

  post-training

Secondary Outcomes (1)

• Shared Decision Making (total score)

  pre-training, 1 month post-training, 6 month follow-up

Study Arms (2)

Primary Care Practice

We recruited 10 primary care practices from across Colorado, from all regions of the state (e.g., Eastern Plains, Mountain West, Front Range), and a mix of rural and urban practices of varying sizes. We recruited both practice staff and patients for this cohort.

Behavioral: SHARE Approach

Cardiology Practice

We recruited 2 cardiology practices from across Colorado, from all regions of the state (e.g., Eastern Plains, Mountain West, Front Range), and a mix of rural and urban practices of varying sizes. We recruited both practice staff and patients for this cohort.

Behavioral: SHARE Approach

Interventions

SHARE Approach BEHAVIORAL

The SHARE Approach training was given at each of these centers, teaching skills to clinicians about shared decision making.

Cardiology Practice; Primary Care Practice

Eligibility Criteria

• Age: 18 Years - 89 Years
• Sex: all
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Population to be enrolled include clinicians and any practice staff who participate in the SHARE Approach training in 12 practices to be recruited across Colorado. Patients will also be enrolled for the card surveys and audio recordings if they are meeting with a clinician who has taken the SHARE Approach training.

You may qualify if:

• Population to be enrolled include clinicians and any practice staff who participate in the SHARE Approach training in 12 practices to be recruited across Colorado.
• Patients will also be enrolled for the card surveys and audio recordings if they are meeting with a clinician who has taken the SHARE Approach training.
• to 89 years old

You may not qualify if:

• Children
• Decisionally challenged
• Prisoners

Sponsors & Collaborators

• University of Colorado, Denver: lead
• Agency for Healthcare Research and Quality (AHRQ): collaborator

Study Sites (1)

University of Colorado

Aurora, Colorado, 80045, United States

Location

Study Officials

• Laura Scherer, PhD

  University of Colorado, Denver

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: September 7, 2023
• First Posted: October 2, 2023
• Study Start: August 1, 2019
• Primary Completion: March 30, 2023
• Study Completion: November 30, 2023
• Last Updated: August 9, 2024

Record last verified: 2024-08

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)